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FORM -8
[Rule No 5(6)]
Fonn of Caste Certificate to be issued to De-Notifie d Tribe (Vimukt Jatl)/Nom adic Tribe/Othe
r
Backward Class/Spe cial Backward Category person belonging to the State of Maharash
tra

Documen ts Verified

CASTE CERTIFICATE
Outward No
Date : 06/10/2014
Rev Case No :
MRC .

This 1s to certify that Kumar Shirsat Tejas Surendra son of Shri Shirsat Surendra
• Jagnnath , of Village Tembhurni, Tehsil Shirur (Kasar), in the District Beed of the State of
Maharashtra belongs to the Vanjari(30) Caste which is recognised as Nomadic Tribes(D)
under Government Resolution No. CBC-1291 -222-Mvk- 5 dated 23/03/1994 as amended from
time to time

Kumar Shirsat Tejas Surendra and I or his family ordinarily resides in village
Tembhurni, Tehsil Shirur (Kasar), in the District Beed of the State of Maharashtra.

Certificate Sr. No. :

Sub-Oi ·
Place Shirur (Kasar) ~ u iv s ottl1~ e
Date
0 ~ / °'' ""~ (Wth the seal of C)ff",ce)

Prirtec1 by. OMTID : Mt-fl62300307. YLE Hime: B1NKM tMBHAU IOEDKAR. Dated : 06J10/2014 10 51 01 f.Y.